| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66,660.00 | $66,660.00 | $66,660.00 | |
Cigna
| Facility | $101,056.56 | $116,215.04 | $188,530.48 | |
Medica
| Facility | $38,038.22 | $39,462.72 | $91,516.18 | |
United
| Facility | $38,038.22 | $39,462.72 | $93,345.33 |